Application of Zirconia in Dentistry: Biological, Mechanical and Optical Considerations

With the aim of replacing the infrastructure of metallic dental prostheses, structural ceramics have been improved and have become increasingly more popular in dentistry. Among the dental ceramics, zirconia has emerged as a versatile and promising material because of its biological, mechanical and optical properties, which has certainly accelerated its routine use in CAD/CAM technology for different types of prosthetic treatment. Zirconia based ceramics are routinely used in structural applications in engineering, such as in the manufacture of cutting tools, gas sensors, refractories and structural opacifiers. (Rashad & Baioumy, 2008). To meet structural demands, zirconia is doped with stabilizers to achieve high strength and fracture toughness. (Kelly & Denry, 2008). The bioceramics that are currently used in medical and dental care are derived from structural materials used in aerospace and military armor, which were modified to suit the additional requirements of biocompatibility. (Thompson et al., 2007; Vagkopoulou et al., 2009).

[1]  S. Eichhorn,et al.  Biomechanical and histomorphometric comparison between zirconia implants with varying surface textures and a titanium implant in the maxilla of miniature pigs. , 2007, Clinical oral implants research.

[2]  H. Tsuru,et al.  Interface histology of unloaded and early loaded partially stabilized zirconia endosseous implant in initial bone healing. , 1993, The Journal of prosthetic dentistry.

[3]  J. J. Mecholsky Fracture mechanics principles. , 1995, Dental materials : official publication of the Academy of Dental Materials.

[4]  H Tsuru,et al.  Tissue compatibility and stability of a new zirconia ceramic in vivo. , 1992, The Journal of prosthetic dentistry.

[5]  Yong-Keun Lee,et al.  Opalescence of all-ceramic core and veneer materials. , 2009, Dental materials : official publication of the Academy of Dental Materials.

[6]  M. Rahaman Ceramic Processing and Sintering , 1995 .

[7]  Michael V Swain,et al.  Strength, fracture toughness and microstructure of a selection of all-ceramic materials. Part II. Zirconia-based dental ceramics. , 2004, Dental materials : official publication of the Academy of Dental Materials.

[8]  Marina Andreiotelli,et al.  Are ceramic implants a viable alternative to titanium implants? A systematic literature review. , 2009, Clinical oral implants research.

[9]  Brian R. Stoner,et al.  Ceramics for restorative dentistry: Critical aspects for fracture and fatigue resistance , 2007 .

[10]  Conyers Herring,et al.  Effect of Change of Scale on Sintering Phenomena , 1950 .

[11]  C. Stanford,et al.  Relative translucency of six all-ceramic systems. Part I: core materials. , 2002, The Journal of prosthetic dentistry.

[12]  A. Mukhopadhyay,et al.  Microstructure-mechanical-tribological property correlation of multistage spark plasma sintered tetragonal ZrO2 , 2010 .

[13]  J. Binner,et al.  Processing of bulk nanostructured ceramics , 2008 .

[14]  I. Chen,et al.  Sintering dense nanocrystalline ceramics without final-stage grain growth , 2000, Nature.

[15]  E Asmussen,et al.  Stiffness, elastic limit, and strength of newer types of endodontic posts. , 1999, Journal of dentistry.

[16]  C. Buckley,et al.  Industrial precipitation of zirconyl chloride: the effect of pH and solution concentration on calcination of zirconia , 2009 .

[17]  S. Sōmiya,et al.  Hydrothermal precipitation of ZrO2 powder , 1991 .

[18]  S. Koutayas,et al.  Zirconia in dentistry: Part 1. Discovering the nature of an upcoming bioceramic. , 2009, The European journal of esthetic dentistry : official journal of the European Academy of Esthetic Dentistry.

[19]  Brian R. Lawn,et al.  Scratch Damage in Zirconia Ceramics , 2004 .

[20]  Robert B Kerstein,et al.  A comparison of fabrication precision and mechanical reliability of 2 zirconia implant abutments. , 2008, The International journal of oral & maxillofacial implants.

[21]  I. Denry,et al.  State of the art of zirconia for dental applications. , 2008, Dental materials : official publication of the Academy of Dental Materials.

[22]  D Edelhoff,et al.  Ceramic abutments--a new era in achieving optimal esthetics in implant dentistry. , 2000, The International journal of periodontics & restorative dentistry.

[23]  C. Monty,et al.  Hydrothermal synthesis of nanostructured zirconia materials: Present state and future prospects , 2005 .

[24]  J. Quinn,et al.  Influence of microstructure and chemistry on the fracture toughness of dental ceramics. , 2003, Dental materials : official publication of the Academy of Dental Materials.

[25]  J Absi,et al.  Numerical separation of bi-modal strength distributions , 2002 .

[26]  Horst Fischer,et al.  In vivo fracture resistance of implant-supported all-ceramic restorations. , 2003, The Journal of prosthetic dentistry.

[27]  Heike Rudolph,et al.  CAD/CAM-machining effects on Y-TZP zirconia. , 2004, Dental materials : official publication of the Academy of Dental Materials.

[28]  C. Stanford,et al.  Relative translucency of six all-ceramic systems. Part II: core and veneer materials. , 2002, The Journal of prosthetic dentistry.

[29]  Paolo Vigolo,et al.  An in vitro evaluation of titanium, zirconia, and alumina procera abutments with hexagonal connection. , 2006, The International journal of oral & maxillofacial implants.

[30]  J. Chevalier,et al.  Subcritical Crack Propagation in 3Y‐TZP Ceramics: Static and Cyclic Fatigue , 2004 .

[31]  C. Leonelli,et al.  Microwave-Hydrothermal Synthesis of Nanocrystalline Zirconia Powders , 2001 .

[32]  Jonathan C Knowles,et al.  Fatigue and fracture properties of yttria partially stabilized zirconia crown systems. , 2008, Dental materials : official publication of the Academy of Dental Materials.

[33]  Takashi Miyazaki,et al.  A review of dental CAD/CAM: current status and future perspectives from 20 years of experience. , 2009, Dental materials journal.

[34]  J. Chevalier,et al.  Influence of surface finish and residual stresses on the ageing sensitivity of biomedical grade zirconia. , 2006, Biomaterials.

[35]  G. Sjögren,et al.  A study of the bending resistance of implant-supported reinforced alumina and machined zirconia abutments and copies. , 2008, Dental materials : official publication of the Academy of Dental Materials.

[36]  J. Chevalier,et al.  What future for zirconia as a biomaterial? , 2006, Biomaterials.

[37]  P. Tartaj,et al.  Two‐Stage Sintering of Nanosize Pure Zirconia , 2009 .

[38]  F. Lange,et al.  Powder Processing Science and Technology for Increased Reliability , 1989 .

[39]  A Odén,et al.  Five-year clinical evaluation of Procera AllCeram crowns. , 1998, The Journal of prosthetic dentistry.

[40]  A. Simchi,et al.  Densification and grain growth of nanocrystalline 3Y-TZP during two-step sintering , 2008 .

[41]  S. Koutayas,et al.  Quintessence Journals , 2009 .

[42]  S. Ringer,et al.  Strength, fracture toughness and microstructure of a selection of all-ceramic materials. Part I. Pressable and alumina glass-infiltrated ceramics. , 2004, Dental materials : official publication of the Academy of Dental Materials.

[43]  L. C. Jonghe,et al.  Microstructure Refinement of Sintered Alumina by a Two‐Step Sintering Technique , 2005 .

[44]  S. Sōmiya,et al.  Hydrothermal Zirconia Powders: A Bibliography , 1999 .

[45]  L. R. Francis Rose,et al.  The martensitic transformation in ceramics — its role in transformation toughening , 2002 .

[46]  S. Apte,et al.  Synthesis and characterization of nanocrystallined zirconia by hydrothermal method , 2008 .

[47]  Berit I Ardlin,et al.  Transformation-toughened zirconia for dental inlays, crowns and bridges: chemical stability and effect of low-temperature aging on flexural strength and surface structure. , 2002, Dental materials : official publication of the Academy of Dental Materials.

[48]  A. Ferrari,et al.  Role of Praseodymium on Zirconia Phases Stabilization , 2001 .

[49]  Y. Sato,et al.  Comparison between freestanding and tooth-connected partially stabilized zirconia implants after two years' function in monkeys: a clinical and histologic study. , 1998, The Journal of prosthetic dentistry.

[50]  I. Denry,et al.  Comparison of three fracture toughness testing techniques using a dental glass and a dental ceramic. , 1998, Dental materials : official publication of the Academy of Dental Materials.

[51]  F Houston,et al.  The fit of cast and premachined implant abutments. , 1998, The Journal of prosthetic dentistry.

[52]  A. N. Cranin,et al.  Alumina and zirconia coated vitallium oral endosteal implants in beagles. , 1975, Journal of biomedical materials research.

[53]  Moustafa N. Aboushelib,et al.  Strength influencing variables on CAD/CAM zirconia frameworks. , 2008, Dental materials : official publication of the Academy of Dental Materials.

[54]  M. Rashad,et al.  Effect of thermal treatment on the crystal structure and morphology of zirconia nanopowders produced by three different routes , 2008 .

[55]  J R Kelly,et al.  Perspectives on strength. , 1995, Dental materials : official publication of the Academy of Dental Materials.

[56]  June-Sung Shim,et al.  The influence of ceramic surface treatments on the tensile bond strength of composite resin to all-ceramic coping materials. , 2005, The Journal of prosthetic dentistry.

[57]  Patrick M. Kelly,et al.  Transformation Toughening in Zirconia‐Containing Ceramics , 2004 .

[58]  E. Cuerda-Correa,et al.  Tailoring the properties of yttria-stabilized zirconia powders prepared by the sol–gel method for potential use in solid oxide fuel cells , 2011 .

[59]  C. Piconi,et al.  Zirconia as a ceramic biomaterial. , 1999, Biomaterials.

[60]  I. Denry,et al.  Stabilized zirconia as a structural ceramic: an overview. , 2008, Dental materials : official publication of the Academy of Dental Materials.

[61]  James H. Adair,et al.  Low-Temperature Hydrothermal Synthesis of Yttrium-Doped Zirconia Powders , 2004 .

[62]  S. Lawson Environmental degradation of zirconia ceramics , 1995 .

[63]  F. Heshmatpour,et al.  Synthesis and characterization of nanocrystalline zirconia powder by simple sol–gel method with glucose and fructose as organic additives , 2011 .

[64]  T. Gerds,et al.  Fracture resistance of single-tooth implant-supported all-ceramic restorations: an in vitro study. , 2006, The Journal of prosthetic dentistry.